Provider Demographics
NPI:1760436315
Name:FINCH, JANE BLANSFIELD (LCSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:BLANSFIELD
Last Name:FINCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4141
Mailing Address - Country:US
Mailing Address - Phone:919-416-4800
Mailing Address - Fax:919-416-6103
Practice Address - Street 1:909 BROAD ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4141
Practice Address - Country:US
Practice Address - Phone:919-416-4800
Practice Address - Fax:919-416-6103
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0035571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical